Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MIND HEART BODY LLC
NPI 1073419578
Nurse Practitioner - Psychiatric/Mental Health in Riverview, FL

Q: What is Mind Heart Body LLC's NPI number?

The NPI number for Mind Heart Body LLC is 1073419578. It was assigned to this organization in the NPPES registry on October 20, 2026.

Q: What is Mind Heart Body LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since October 20, 2026

13148 VAIL RIDGE DR, RIVERVIEW, FL 33579(813) 317-3930(813) 790-6492 Get Directions Write a Review

NPPES record added: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mind Heart Body Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIND HEART BODY LLC (NPI 1073419578) is a healthcare organization registered as a psychiatric/mental health in Riverview, Florida and active in the NPI registry since October 2026. The organization lists De Juanna O Corson, Owner, as its authorized official.

NPPES Registry Identity

NPI1073419578

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMIND HEART BODY LLC

Location Address13148 VAIL RIDGE DRRiverview, FL 33579-7187

Mailing Address13148 Vail Ridge DrRiverview, FL 33579-7187 · (813) 317-3930 · Fax (813) 790-6492

Phone(813) 317-3930

Fax(813) 790-6492

Organization SubpartNo

Authorized OfficialDe Juanna O CorsonOwner · (813) 317-3930

Enumeration DateOctober 20, 2026

NPPES CertifiedOctober 20, 2026

✔ NPI 1073419578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

13148 VAIL RIDGE DR, Riverview, FL 33579

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELEVATED WELLNESS VIBES LLC

Nurse Practitioner (Psychiatric/Mental Health)

13148 VAIL RIDGE DR
RIVERVIEW, FL 33579

Hillsborough County (954) 516-2748

DE JUANNA OUBRE CORSON RN, APRN

Nurse Practitioner (Psychiatric/Mental Health)

13148 VAIL RIDGE DR
RIVERVIEW, FL 33579

Hillsborough County (813) 317-3930

WOMEN'S CARE FLORIDA LLC

Obstetrics & Gynecology

13148 VAIL RIDGE DR
RIVERVIEW, FL 33579

Hillsborough County (813) 571-2777

MINDHEARTBODY

Nurse Practitioner (Psychiatric/Mental Health)

13148 VAIL RIDGE DR
RIVERVIEW, FL 33579

Hillsborough County (813) 317-3930

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mind Heart Body LLC's NPI number?

The NPI number for Mind Heart Body LLC is 1073419578. It was assigned to this organization in the NPPES registry on October 20, 2026.

Where is Mind Heart Body LLC located?

Mind Heart Body LLC is located at 13148 Vail Ridge Dr, Riverview, FL 33579. The listed phone number is (813) 317-3930.

What is Mind Heart Body LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mind Heart Body LLC was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.